Healthcare Provider Details

I. General information

NPI: 1033168208
Provider Name (Legal Business Name): STEVEN JAI NOVEK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CMR 427, BOX 850
APO AE
09630
US

IV. Provider business mailing address

CMR 427, BOX 850
APO AE
09630
US

V. Phone/Fax

Practice location:
  • Phone: 44-471-6682
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35177
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: